| NPI | 1942623509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA HOPE KINDGREN CEO 815-520-5142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180004882) |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2014-01-31 |